Forms & publications

Fact sheet describing our state's Medicaid program.

Step by step instructions on how to apply for a newborn under Washington Apple Health (Medicaid) in Washington Healthplanfinder.

Complete this form to request an administrative hearing for DSHS Classic Medicaid.

Use this form to request a hearing before a judge. Mail this form within 90 calendar days of the date on eligibility notice you disagree with. You may be able to keep Apple Health coverage during the hearing process if you request a hearing in less than 10 days.

This document provides information on your rights and the deadlines associated with administrative hearings.

This document provides information on your rights and the deadlines associated with administrative hearings. For DSHS Classic Medicaid clients.

A form for withdrawing a request for an administrative hearing.

This flyer provides an overview of dental services for adults, age 21 and older, covered by Washington Apple Health (Medicaid).

Alien Emergency Medical (AEM) supporting medical evidence desk aid.

Frequently asked questions about the Alien Emergency Medical (AEM) program.